1
|
Knowledge exchange in crisis settings: A scoping review. PLoS One 2023; 18:e0282080. [PMID: 36827258 PMCID: PMC9956070 DOI: 10.1371/journal.pone.0282080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 02/07/2023] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND Public health practice and efforts to improve the social determinants of health operate within a climate characterised by multiple and intersecting crises. This includes the Covid-19 pandemic as well as more protracted crises such as climate change and persistent social inequalities that impact health. We sought to understand and compare how knowledge exchange (KE) processes occur across different crises, and how knowledge on improving social determinants of health can be utilised at times of crisis to reduce health inequalities and strengthen public systems. METHODS We conducted a scoping review to understand how KE on improving social determinants of health can occur across different types of crises (e.g. environmental, pandemics, humanitarian). Relevant studies were identified through electronic searching of Medline, EMBASE, Global Health, Scopus and Web of Science databases. RESULTS We identified 86 studies for inclusion in the review. Most studies concerned pandemic or environmental crises. Fewer studies explored KE during technical (e.g. nuclear), terror-related or humanitarian crises. This may reflect a limitation of the searches. Few studies assessed KE as part of longer-term responses to social and economic impacts of crises, with studies more likely to focus on immediate response or early recovery stages. Exchange of research evidence or data with policy or practice contextual knowledge was common but there was variation in the extent that lay (public) knowledge was included as part of KE processes. CONCLUSION As ongoing crises continue with significant public health implications, KE processes should appropriately reflect the complexity inherent in crises and foreground health inequalities. Doing so could include the utilisation of systems or complexity-informed methods to support planning and evaluation of KE, a greater focus on KE to support action to address social determinants of health, and the inclusion of a plurality of knowledge-including lived experience-in planning and responding to crises.
Collapse
|
3
|
Martinez D, Talbert T, Romero-Steiner S, Kosmos C, Redd S. Evolution of the Public Health Preparedness and Response Capability Standards to Support Public Health Emergency Management Practices and Processes. Health Secur 2019; 17:430-438. [PMID: 31794674 DOI: 10.1089/hs.2019.0076] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
In spring 2011, the Centers for Disease Control and Prevention (CDC) released Public Health Preparedness Capabilities: National Standards for State and Local Planning. The capability standards provide a framework that supports state, local, tribal, and territorial public health agency preparedness planning and response to public health threats and emergencies. In 2017, a project team at the CDC Division of State and Local Readiness incorporated input from subject matter experts, national partners, and stakeholders to update the 2011 capability standards. As a result, CDC released the updated capability standards in October 2018, which were amended in January 2019. The original structure of the 15 capability standards remained unchanged, but updates were made to capability functions, tasks, and resource elements to reflect advances in public health emergency preparedness and response practices since 2011. When the number of functions and tasks in the 2018 capability standards were compared to those in the 2011 capabilities, only 20% (3/15) of the capabilities had a decrease in function number. The majority of changes were at the task level (task numbers changed in 80%, or 12/15, capabilities) in the 2018 version. The capability standards provide public health agencies with a practical framework, informed by updated science and tools, which can guide prioritization of limited resources to strengthen public health agency emergency preparedness and response capacities.
Collapse
Affiliation(s)
- DeAndrea Martinez
- DeAndrea Martinez, MPH, is a Public Health Analyst, Program Planning and Development, Division of State and Local Readiness; Todd P. Talbert, MA, is a Senior Advisor, Program Planning and Development; Sandra Romero-Steiner, PhD, is a Scientific Clearance Official, Office of Science and Public Health Practice; Christine Kosmos, RN, BSN, MS, is Director of the Division of State and Local Readiness; and Stephen C. Redd, MD, is a RADM in the United States Public Health Service and Deputy Director for Public Health Service and Implementation Science; all in the Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA
| | - Todd Talbert
- DeAndrea Martinez, MPH, is a Public Health Analyst, Program Planning and Development, Division of State and Local Readiness; Todd P. Talbert, MA, is a Senior Advisor, Program Planning and Development; Sandra Romero-Steiner, PhD, is a Scientific Clearance Official, Office of Science and Public Health Practice; Christine Kosmos, RN, BSN, MS, is Director of the Division of State and Local Readiness; and Stephen C. Redd, MD, is a RADM in the United States Public Health Service and Deputy Director for Public Health Service and Implementation Science; all in the Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA
| | - Sandra Romero-Steiner
- DeAndrea Martinez, MPH, is a Public Health Analyst, Program Planning and Development, Division of State and Local Readiness; Todd P. Talbert, MA, is a Senior Advisor, Program Planning and Development; Sandra Romero-Steiner, PhD, is a Scientific Clearance Official, Office of Science and Public Health Practice; Christine Kosmos, RN, BSN, MS, is Director of the Division of State and Local Readiness; and Stephen C. Redd, MD, is a RADM in the United States Public Health Service and Deputy Director for Public Health Service and Implementation Science; all in the Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA
| | - Christine Kosmos
- DeAndrea Martinez, MPH, is a Public Health Analyst, Program Planning and Development, Division of State and Local Readiness; Todd P. Talbert, MA, is a Senior Advisor, Program Planning and Development; Sandra Romero-Steiner, PhD, is a Scientific Clearance Official, Office of Science and Public Health Practice; Christine Kosmos, RN, BSN, MS, is Director of the Division of State and Local Readiness; and Stephen C. Redd, MD, is a RADM in the United States Public Health Service and Deputy Director for Public Health Service and Implementation Science; all in the Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA
| | - Stephen Redd
- DeAndrea Martinez, MPH, is a Public Health Analyst, Program Planning and Development, Division of State and Local Readiness; Todd P. Talbert, MA, is a Senior Advisor, Program Planning and Development; Sandra Romero-Steiner, PhD, is a Scientific Clearance Official, Office of Science and Public Health Practice; Christine Kosmos, RN, BSN, MS, is Director of the Division of State and Local Readiness; and Stephen C. Redd, MD, is a RADM in the United States Public Health Service and Deputy Director for Public Health Service and Implementation Science; all in the Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA
| |
Collapse
|